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General NPI Number Information
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NPI Number | 1902346745
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Entity Type | Organization
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Legal Business Name | KERN COUNTY MENTAL HEALTH DEPARTMENT
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Dates
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Enumeration Date | 02/27/2017
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 930 F ST
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City | WASCO
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State | CA
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Zip | 93280-2040
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Country | US
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Telephone | 661-758-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 930 F ST
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City | WASCO
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State | CA
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Zip | 93280-2040
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Country | US
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Telephone | 661-758-7300
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Fax |
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Authorized Official
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Title or Position | RN
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Name | MR. TERRILL KENT SARGENT
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Credential | REGISTERED NURSE
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Telephone | 661-758-7310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 543665
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License Number State | CA
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